Reducing Iv Infiltrates In The Neonatal Population, 2016 The University of San Francisco
Reducing Iv Infiltrates In The Neonatal Population, Stephanie L. Miller
Master's Projects and Capstones
The objective of the CNL project is to improve the quality of care provided to our patients. The project focuses efforts to reduce IV infiltrates by auditing all running IV lines, IV management monitoring and auditing infiltrate grading and documentation to find commonalities that could be causing infiltrates.
The project is focusing on the neonatal population at a children’s hospital in the Neonatal Intensive Care Unit (NICU). This NICU is an 80 bed unit that houses both critical care patients and intermediate care neonates.
Auditing was a major component to the project and helped with identifying common causes ...
Therapeutic Listening Communication In Children With Autism And Hyperacusis, 2016 California State University, Northern California Consortium Doctor of Nursing Practice
Therapeutic Listening Communication In Children With Autism And Hyperacusis, Jennifer Margaret Hughes
Hyperacusis, or auditory hypersensitivity, is defined as abnormally sensitive hearing and in some cases an extreme sensitivity, where normally tolerated sounds are perceived as excessively, even painfully loud. This is a debilitating condition for children with autism, causing activity limitations and participation restrictions, also leading to peer isolation and habitual sound avoidance behaviors.
This research explores a means of modifying the auditory environment of a child with hyperacusis in a safe, effective way for the purpose of improving attention span and facilitating learning. The small pilot study (n=4) was a single-subject, multiple-baseline design, conducted with school-aged children in the ...
Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, 2016 East Tennessee State Universtiy
Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, Cindy D. Phillips
Electronic Theses and Dissertations
The Centers for Disease Control and Prevention (CDC) estimates that 1.5 million women are victims of intimate partner violence (IPV) each year, and 324,000 of these women are pregnant (2013). Research on the predictability of certain factors and their relationship to current and historical IPV is limited. In order to better understand IPV as it related to a sample of 1,016 Appalachian pregnant women selected for the Tennessee Interventions for Pregnant Smokers (TIPS), it was important to evaluate various influences that may predict the prevalence of IPV in this population when compared to the State of Tennessee ...
Evidence-Based Obstetric Emergency Team Training And Drills, 2016 Gardner-Webb University
Evidence-Based Obstetric Emergency Team Training And Drills, Michelle R. Cox
Nursing Theses and Capstone Projects
Obstetrical emergencies occur in less than two percent of all pregnancies in the United States. These emergency situations are unanticipated and occur rapidly. According to the American Congress of Obstetricians and Gynecologists, the most common obstetric emergencies in the United States are postpartum hemorrhage and shoulder dystocia. When these emergency medical situations occur, the entire medical team should respond immediately with precision and confidence. There is evidence to support planning and collaboration of interdisciplinary teams with ongoing education and training, leading to prompt recognition and response to critical situations, which can ultimately mitigate poor outcomes during obstetric emergencies. This capstone ...
Doulas Could Improve Foreign-Born Women’S Perinatal And Postpartum Satisfaction And Increase Health Providers’ Cultural Competency In A Multicultural Urban Area Of The United States., 2016 Clark University
Doulas Could Improve Foreign-Born Women’S Perinatal And Postpartum Satisfaction And Increase Health Providers’ Cultural Competency In A Multicultural Urban Area Of The United States., Crystal Kazik
International Development, Community and Environment (IDCE)
Doulas act as a cultural bridge between clients and providers through the support, advocacy, and education they provide. Unfortunately, migrant women may be at a disadvantage for accessing and benefiting from their services due to a variety of socioeconomic and cultural factors including predisposed ideas of care and structure based on experiences in native countries, language barriers, lower health literacy, and a lack of awareness and understanding from hospital/clinic staff.
A strategic multifaceted approach utilizing doulas, such as Boston Medical Center’s collaborative and culturally competent model, may greatly improve foreign-born women’s experience and satisfaction with healthcare when ...
The Influence Of Socioeconomic Status And Ethnicity On Body Mass Index In Children In Northwest Arkansas, 2016 University of Arkansas
The Influence Of Socioeconomic Status And Ethnicity On Body Mass Index In Children In Northwest Arkansas, Madison E. Davidson
The Eleanor Mann School of Nursing Undergraduate Honors Theses
Body Mass Index (BMI) is a measure of body fat that is calculated based on the height, weight, age, and gender of a child. Body Mass Index (BMI) is an important indicator of potential health risks in children. Determining correlations between ethnicity, socioeconomic status, and BMI may assist in identifying children at risk for comorbidities associated with either an elevated or low BMI. An elevated BMI may lead to complications later in life such as hypertension, hyperlipidemia, type 2 diabetes, obesity in adulthood, and psychosocial issues (Geason & Dodd, 2009). On the other hand, a low BMI could lead to decreased ...
The Influence Of Birth Weight On Body Mass Index In Young Children In Northwest Arkansas, 2016 University of Arkansas, Fayetteville
The Influence Of Birth Weight On Body Mass Index In Young Children In Northwest Arkansas, Margaret Frame
The Eleanor Mann School of Nursing Undergraduate Honors Theses
Body Mass Index (BMI) is a screening tool to measure body fat that is calculated based on the height, weight, age, and gender of a child. Being overweight as a child is defined as having a BMI between the 85th and 95th percentiles. Obesity is defined as having a BMI at or above the 95th percentile (“Basics About Childhood Obesity,” 2012). Having a high BMI comes with an increased risk of multiple co-morbidities, both physical and psychosocial (Pulgarón, 2013). Birth weight has been presumed to play a role in the prevalence of obesity in children. The purpose ...
Becoming Baby Friendly: Rooming-In For Patient Centered Care In The Maternal Setting, 2016 University of Massachusetts Boston
Becoming Baby Friendly: Rooming-In For Patient Centered Care In The Maternal Setting, Liana Macdonald
Honors College Theses
This thesis paper discusses the concept of rooming in on the maternity unit while pertaining to the QSEN nursing competency of patient centered care. Through an extensive review of the literature, the following question will be addressed: On the post-partum unit, does having the newborn rooming in with his or her mother improve patient-centered care compared to rooming in the nursery? After an introduction of the problem and its significance to patient-centered care, research that was conducted will be reviewed that discusses the importance of rooming in. A case example of a maternal-newborn couplet is provided, demonstrating the relevance of ...
Breast Milk Exposure And The Incidence Of Necrotizing Enterocolitis In Very Low Birth Weight Pre-Term Infants, 2016 University of Connecticut
Breast Milk Exposure And The Incidence Of Necrotizing Enterocolitis In Very Low Birth Weight Pre-Term Infants, Meaghan Sullivan
Honors Scholar Theses
Purpose: To determine what degree of exposure to breast milk feeding is protective against Necrotizing Enterocolitis (NEC) in very low birthweight (VLBW) preterm infants.
Data Sources: This is a secondary data analysis of 56 VLBW preterm infants diagnosed with NEC and 56 age-matched VLBW infants who served as controls. All infants were born between 1997 and 2009 and cared for in the Newborn Intensive Care Unit (NICU). Infants were born at or before 29 weeks gestation and with a birth weight less than 1500 grams. Data included the volume fed daily and type of feeding along with demographic birth data ...
Policy Brief: Lifespan Respite Care Reauthorization Act, 2016 The University of Maine
Policy Brief: Lifespan Respite Care Reauthorization Act, The 2015-2016 Cohort Of New Hampshire Leadership Education In Neurodevelopmental And Related Disabilities (Nh Lend) Program Trainees.
The Lifespan Respite Care Act (PL 109-442) provides critical support for families caring for loved ones at home. Family caregivers in the United States provide an estimated $470 billion worth of uncompensated care—a figure that exceeds the total Medicaid budget for 2013 (NAC Task Force, 2016). According to the National Respite Coalition, access to respite care helps protect caregiver health, strengthens families, keeps marriages intact, and prevents the need for expensive institutional long-term care. Reauthorization of the Lifespan Respite Care Act is essential to the well-being of individuals in need of long-term care and their families affected by long-term ...
The Use Of Hydrotherapy In Labor To Promote Physiologic Labor, 2016 Western Michigan University
The Use Of Hydrotherapy In Labor To Promote Physiologic Labor, Nicolette Johnson
The pain of labor is well understood, yet, very difficult to treat. This is secondary to the fact that each woman’s perception of pain varies as it is influenced by many different factors. According to Lowedermilk, Perry, Cashion, & Alden, (2012) how the woman perceives pain is “influenced by a variety of physiologic, psychological, emotion, social, cultural and environmental factors” (p. 387). A nurses’ role is to act as a patient advocate and with that entails maintaining the patient’s comfort throughout the labor process. In order to do so, a nurse must be able to assess the patient from ...
Improving The Lives Of Fragile Newborns: What Does Nursing Have To Offer?, 2016 University of Pennsylvania
Improving The Lives Of Fragile Newborns: What Does Nursing Have To Offer?, Eileen Lake
This brief summarizes evidence of nursing’s effects on NICU outcomes and recommends policies to bolster and support nursing practice in NICUs. Adequate staffing and a supportive work environment are associated with better outcomes for very low birth weight infants.
The Utilization Of Exogenous Surfactant In The Neonate, 2016 Liberty University
The Utilization Of Exogenous Surfactant In The Neonate, Katherine Thorkildsen
Senior Honors Theses
Respiratory distress syndrome (RDS) is a common consequence of pulmonary immaturity in the lungs of neonates. RDS is the result of the deficient secretion of endogenous surfactant, causing increased surface tension in the alveolar sacs leading to respiratory compromise. RDS is more common in the preterm neonate but can be experienced by neonates at any gestational age. Treatment for RDS formerly consisted of mechanical ventilation and oxygen therapy to treat and relieve symptoms but not the cause. A new treatment method, developed largely in the 1980s and 90s is the use of exogenous surfactant to treat the deficiency exhibited in ...
The Presence Of Stem Cells In Human Breast Milk And Research Implications, 2016 Liberty University
The Presence Of Stem Cells In Human Breast Milk And Research Implications, Melody (Brooke) Peterson
Senior Honors Theses
Stem cell therapy research is an expanding area of study as stem cell therapy is believed to have the potential to provide treatment options for numerous disease processes. Currently, embryonic stem cell research is the method of choice to evaluate the potential for stem cell therapy. The use of human embryos for stem cell research raises moral and ethical controversies. Stem cells are found in a variety of mediums, but until the recent discovery of stem cells in human breast milk, the most versatile stem cells have been those found in the human embryo. Human breast milk stem cells could ...
Reflective Approach Of Lonergan’S Generalized Empirical Method (Gem) To Maternal Child Nursing., 2016 Seton Hall University
Reflective Approach Of Lonergan’S Generalized Empirical Method (Gem) To Maternal Child Nursing., Josephine Devito
No abstract provided.
Relationship Between Ambulation And Position Changes During Labor And Hormonal Physiology Of Childbearing, 2016 Western Michigan University
Relationship Between Ambulation And Position Changes During Labor And Hormonal Physiology Of Childbearing, Zoe Nokomis
The birthing process for many women is a complex period of time that involves many changes in the mother’s body as well as the baby’s preparation to enter the world. Medical advances and technology have improved care for at-risk women but the increased number of unnecessary interventions during labor currently may actually hinder a healthy mother from having the best possible birth experience and outcomes for her and her child. Mothers can use many different, non-medical, non-pharmacological strategies to cope with the stress of labor. These strategies may include ambulating or position changes during the first stage of ...
Opioid Exposed Mothers And Infants In Delaware: Clinical And Legal Considerations, 2016 School of Nursing, Thomas Jefferson University
Opioid Exposed Mothers And Infants In Delaware: Clinical And Legal Considerations, Michele K. Savin, Msn, Nnp-Bc, David A. Paul, Md
College of Nursing Faculty Papers & Presentations
Drug use is on the rise in Delaware, as demonstrated by the continued increase in infants born with neonatal abstinence syndrome. Thoughful, evidence based, and coordinated approaches are necessary to impact this problem. There is solid evidence that mothers and infants who remain together have improved outcomes. Professional medical and nursing societies are unanimous in support of non-punitive approaches to care. Medical Professionals, legislators, and society in general would benefit from ongoing education on the addiction disease process in order to best care for the increasing number of mother/baby dyads with neonatal abstinence syndrome.
Training Traditional Birth Attendants In Sub-Saharan Africa, 2016 Liberty University
Training Traditional Birth Attendants In Sub-Saharan Africa, Lindsey J. Smith
Senior Honors Theses
Even after many adjustments, recommended practice regarding traditional birth attendants (TBAs) and their contribution to lowering the maternal mortality rate (MMR) continues to be disputed among various stakeholders. Sub-Saharan Africa continues to see high maternal mortality rates, despite various attempts by the World Health Organization (WHO) and others at utilizing the formal health care system (Prata, et al., 2011). Considering all factors and variables behind the reason for this problem in Sub-Saharan African, it is reasonable to conclude that training traditional birth attendants (TBAs) in evidence-based practice, in conjunction with developing longer-term strategies, is an appropriate approach for the short ...
Embryo Adoption As An Ethical Option For Couples Faced With Infertility, 2016 Liberty University
Embryo Adoption As An Ethical Option For Couples Faced With Infertility, Rachel M. Walters
Senior Honors Theses
Embryo adoption takes embryos that are still forming and introduces them into the uterus of a woman with whom they do not share any genetic material. If pregnancy does ensue and continues without complications, the child that will be born will not share any genes with the woman who carried him or her. In addition, if the child is born to parents who already have other children, the children in the adoptive family will share no biological link to the newborn. Essentially, the child will have two families—a biological family and an adoptive family. This thesis will explore and ...
Identifying Intimate Partner Violence During Pregnancy In Prenatal Care Settings, 2016 East Tennessee State University
Identifying Intimate Partner Violence During Pregnancy In Prenatal Care Settings, Tifani R. Fletcher, Andrea D. Clements, Beth Bailey
International Journal of Health Sciences Education
More than 324,000 women each year are estimated as having experienced intimate partner violence (IPV) during pregnancy. Correctly identifying women experiencing all forms and severity of IPV is necessary to inform the implementation of interventions to prevent and treat IPV. This can optimally be accomplished with data from accurate screening instruments. The United States Preventative Services Task force has recently recommended that all women who are pregnant should be screened for IPV over the course of their pregnancy and postnatal visits. Currently, clinical practice and research are hindered by the lack of validated IPV screening measurements for a pregnant ...